Course

Objective:

Learning Outcomes:

• Define medical necessity
• Differentiate between outpatient coding and inpatient coding
• List and apply the steps required to properly code emergency department cases
• Use modifiers which include level I CPT and/or level II HCPCS as dictated by setting
• Utilize CMS national correct coding initiative (NCCI) edits when assigning to promote national correct coding methodologies and to control improper payments for Medicare part B
• Apply the inpatient coding process
• Discuss the healthcare record as a primary source of documentation
• Describe the classification systems in coding (APC)
• Describe the prospective payment system
• Discuss the importance of a corporate compliance plan
• Describe coding guidelines in the emergency department
• Assign and sequence the primary CPT procedure code first, followed by applicable additional procedure codes to include modifiers when appropriate
• Assign APC assignments
• Apply the outpatient coding process
• List the steps to follow when coding from medical documentation
• Accurately apply uniform hospital discharge data set (UHDDS) definitions to principle and secondary procedure

General Topics: